North Dakota State University
NPI 1194805796ActiveOrganization· Pharmacy, Clinic Pharmacy· Fargo, ND
Pharmacy, Clinic Pharmacy in Fargo, North Dakota, registered in NPPES in October 2006, part of North Dakota State University. The authorized official on file is Jennifer Iverson, RPH, Pharmacist In Charge.
Overview
| NPI | 1194805796 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | North Dakota State University |
| NPI issued | Oct 17, 2006 |
| Last updated in NPPES | Aug 24, 2022 |
| Certified by provider | Aug 24, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy, Clinic Pharmacy Primary | 3336C0002X | 117 | ND |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Pharmacy, Clinic Pharmacy providers in Fargo
- 1639254113
- 1811939416
- 1972000768
- 1992465306